Bugs with exotoxins Flashcards
Define the bugs that inhibit protein synthesis
- Pseudomonas aeruginosa
- (EHEC) Enterohemorrhagic E. coli (including O157:H7 strain)
- Shigella
- Corynebacterium diphtheriae
Define the bugs that increase fluid secretion
- Bacilus anthracius
- ETEC (eterotoxigenic E. coli)
- Vibrio cholerae
Define the bugs that inhibit phagocytic ability
- Bordetella pertussis
Define the bug that inhibits the release of neurotransmitters
- Clostridium tetani
- Clostridium botulinum
Define the bug that lyse cell membrane
- Clostriudium perfringens
- Streptococcus pyogenes
Define the bugs that produce the superantigens that cause shock
- Staphylococcus aureus
- Streptococcus pyogenes
Presentation:
Pharyngitis with pseudomembranes in throat and severe lymphadenopathy (bull neck)
Define
- Bacteria
- MOA
- Toxin
Define
- Bacteria: Corynebacterium diphtheriae
- MOA: Inhibits elongation factor EF-2
-
Toxin: diphtheria toxin (Toxin is an ADP ribosylating A-B toxin)
- B (binding) component binds to host cell surface4 receptor, enabling endocytois
- A (active) component attaches ADP-ribosyl to disrupt host cell proteins.
Presentation:
Host cell death
Define
- Bacteria
- MOA
- Toxin
Define
- Bacteria: Pseudomonas aerginosa
- MOA: Inhibits EF-2
- Toxin: Exotoxin A (Toxin is an ADP ribosylating A-B toxin)
- B (binding) component binds to host cell surface receptor, enabling endocytosis
- A (active) compnent attaches ADP-ribosyl to disrupt host cell proteins.
Presentation:
GI mucosal damage–> dysentery; ST also enhances cytokine release, causing hemolytic uremic syndrome (HUS)
Define
- Bacteria
- MOA
- Toxin
Define
- **Bacteria: **Shigella
- MOA: Inactivates 60S ribosome by removing adenine from rRNA
- Toxin: Shigella toxin (ST)
Presentation:
SLT enhances cytokine release, causing HUS; unlike Shigella, _ _does not invade host cells.
Define
- Bacteria
- MOA
- Toxin
Define
- **Bacteria: **EHEC
- MOA: inhibits 60 S ribosome by removeing adenine from rRNA.
- Toxin: Shiga-like toxin (SLT)
Presentation:
Watery diarrhea, labile in teh Air (Adenylate cyclase), stable on the ground (Guanylate cyclase)
Define
- Bacteria
- MOA
- Toxin
Define
- Bacteria: ETEC
- MOA:
- LT: overactivates adenylate cyclase (inc cAMP) –> inc Cl- secretion in gut and H2O efflux
- ST; overactivates guanylate cyclase (inc cGMP) –> dec resorption of NaCl and H2O in gut.
- Toxin:
- Heat labile toxin (LT) ADP-ribosylating A-B toxin
- **Heat stable toxin (ST) **
Presentation:
Likely responsible for characterisitc edematous borders of black eschar in cutaneous anthrax
Define
- Bacteria
- MOA
- Toxin
Define
- **Bacteria: **Bacillus anthracis
- MOA: Mimic adenylate cyclase enzyme (inc cAMP)
- Toxin: Edema factor
Presentation:
Voluminous ‘rice water’ diarrhea
Define
- Bacteria:
- MOA:
- Toxin:
Presentation:
Define
- **Bacteria: **Vibrio Cholera
- MOA: Overactivates adenylate cyclase (inc cAMP) by permanently activating Gs –> inc of Cl- secretion and H2O efflux
- **Toxin: **Cholera toxin
Presentation:
Child coughs on expiration and ‘whoops’ on inspiration (toxin may not actually be a cause of cough, can cause 100 day cough in adults)
Define
- Bacteria
- MOA
- Toxin
Define
- Bacteria: Bordetella pertussis
- **MOA: **Overactivates adenylate cyclase (inc cAMP) by disabling Gi, impairing phagocytosis to permit survival of micobe
- Toxin: Pertussis toxin
Presentation:
Spasticity, risus sardonicus, and ‘lockjaw’
Define
- Bacteria
- MOA
- Toxin
Define
- Bacteria: Clostridium tetani
- **MOA: **
- Protease that cleaves SNARE proteins required for neurotransmitter release
- Toxin prevents release of inhibtiory (GABA and Glycine) neurotransmitters from Renshaw cells in spinal cord.
- Toxin: Tetanospasmin